NPIMap

Individual provider Active NPI

Hadi Ali Dourra, M.D

  • Internal Medicine Physician
  • Redford, MI
National Provider Identifier
1003975517
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301084360 Issued in MI
Practice address
27144 Joy Rd
Redford, MI 48239-2368
Phone
(313) 937-1400
Fax
(313) 937-1402
NPI assigned
Dec 8, 2006
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301084360 MI Primary
Hospitalist Physician 208M00000X 4301084360 MI

Addresses

Primary practice location

27144 Joy Rd
Redford, MI 48239-2368

Mailing address

27144 Joy Rd
Redford, MI 48239-2368
Phone (313) 937-1400

Other identifiers 4

IdentifierTypeStateIssuer
5177514-10MedicaidMI
1003975517OtherMINPI #
70-0-F32947-0OtherMIBCBS CPIN #
4301084360OtherMISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000500 MI Practitioner - Internal Medicine 5193823409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Care Physicians PLLCGroup PAC ID 9133265945, 3 clinicians
Apollo Hospitalist GroupGroup PAC ID 5193194033, 15 clinicians

Practice addresses (Care Compare)

27144 Joy Rd
Redford, MI 48239-2368
Phone (313) 937-1400

5823 Middlebelt Rd
Garden City, MI 48135-2459
Phone (734) 421-6333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as apm
Quality
75.13
Promoting interoperability
88.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301084360MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Hospitalist Group Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Apollo Family Health Services PC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Elite Care Physicians, PLLC CurrentSince Oct 8, 2009 Accepting new patients
Prime Healthcare Services - Garden City LLC Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine Past Accepting new patients

Locations

5831 W Vernor Hwy
Detroit, MI 48209
Phone (313) 842-8300

5823 Middlebelt Rd
Garden City, MI 48135
Phone (734) 421-6333

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

27144 Joy Rd
Redford, MI 48239
Phone (313) 937-1190

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFHEBA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1003975517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27144 JOY RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392368",
            "telephone_number": "313-937-1400",
            "fax_number": "313-937-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27144 JOY RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392368",
            "telephone_number": "313-937-1400",
            "fax_number": "313-937-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOURRA",
        "first_name": "HADI",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084360",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301084360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5177514-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1003975517",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CPIN #",
            "identifier": "70-0-F32947-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301084360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.